DR. PILSEONG KIM (NPI# 1700800943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700800943 |
| Entity Type | Individual |
| Full Name | DR. PILSEONG KIM |
| Credential | DDS,MS |
| Practice Address |
4760 Barranca Pkwy Irvine CA 92604-4727 |
| Practice Telephone | 9496544760 |
| Practice Fax Number | 9496544763 |
| Mailing Telephone | 9496544760 |
| Mailing Fax Number | 9496544763 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
42926 | CA | Dental Providers |
| Street Address |
4760 BARRANCA PKWY |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-4727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204780 | Richard Koh Dds Ms Inc. | Dentist | 11 Delano, Irvine, CA 92602-2462 | 2020-10-30 |
| 1528477437 | Nooshin Ghayoumi Dds Inc | Dentist | 113 Waterworks Way Ste 255, Irvine, CA 92618-3169 | 2014-08-05 |
| 1073764908 | Mohamed Abdalla Hassan | Dentist | 107 Tinker, Irvine, CA 92618-0825 | 2008-10-09 |
| 1447409180 | Amir Mostaghni | Dentist | 70 Briarwood, Irvine, CA 92604-3753 | 2008-09-18 |
| 1013177625 | Saeid Malboubi | Dentist | 464 Monroe, Irvine, CA 92620-3656 | 2008-06-17 |
| 1225154248 | Yen-hui V Li | Dentist | 4200 Trabuco Rd Ste 130, Irvine, CA 92620-3622 | 2007-03-21 |
| 1932258332 | Coury Staadecker | Dentist | 405 Rockefeller, 504, Irvine, CA 92612-7188 | 2007-01-09 |
| 1649378126 | Cheng L Miao | Dentist | 3313 Spectrum, Irvine, CA 92618-3374 | 2006-09-20 |
| 1811916398 | Todd E. Miller | Dentist | 16100 Sand Canyon Ave Ste 320, Irvine, CA 92618-3718 | 2006-07-18 |
| 1043278153 | Jae Woo Chung | Dentist | 27 Straw Flower, Irvine, CA 92620-1211 | 2006-05-01 |
| Find all providers in IRVINE | ||||
Please comment or provide details below to improve the information on DR. PILSEONG KIM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.